# THE BRIDGE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144773144
- **Authorized official:** MRS. SUSAN WIVIOTT (CEO)
- **Authorized official phone:** (212) 663-3000

## Contact information

- **Practice address:** 248 W 108TH ST, NEW YORK, NY 10025-2956
- **Practice address phone:** (212) 663-3000
- **Mailing address:** 248 W 108TH ST, NEW YORK, NY 10025-2956
- **Mailing address phone:** (212) 663-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016